Filing Details

Accession Number:
0001562180-21-006337
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-10-05 20:41:42
Reporting Period:
2021-06-01
Accepted Time:
2021-10-05 20:41:42
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1747748 Qualtrics International Inc. XM Services-Prepackaged Software (7372) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1842543 Chris Beckstead 333 West River Park Drive
Provo UT 84604
President No No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Disposition 2021-06-01 4,077 $33.73 6,131,125 No 4 S Direct
Class A Common Stock Disposition 2021-07-01 3,834 $36.63 6,127,291 No 4 F Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 F Direct
Footnotes
  1. The Reporting Person inadvertently missed timely reporting of the transaction on Form 4.
  2. Shares sold by the Reporting Person to cover tax withholding obligations in connection with the vesting of restricted stock units ("RSUs").
  3. Represents shares of Class A common stock withheld by the Issuer in satisfaction of tax withholding obligations in connection with the vesting of RSUs previously granted to the Reporting Person. Such withholding is mandated by an election of the Issuer made in advance and does not represent a discretionary trade by the Reporting Person.